10%盐水冰袋联合弹力绷带持续加压冷敷用于全膝关节置换术后关节肿痛  

Continued pressured cold therapy by using elastic bandage to secure 10% saline ice pack for pain and swelling after artificial total knee arthroplasty

作　　者：王春萍[1] 田琴[1] 李英[1] 

机构地区：[1]襄阳市中心医院骨科,湖北襄阳441021

出　　处：《护理学杂志》2012年第8期16-17,共2页

摘　　要：目的探讨安全经济有效的减轻全膝关节置换术后关节肿胀及疼痛的方法。方法将60例膝关节骨性关节炎实施全膝关节置换术患者按住院号单双数分为观察组和对照组各30例。术后对照组采用绷带包扎,10%盐水冰袋冷敷;观察组用弹力绷带包裹患肢后用10%盐水冰袋冷敷,再用弹力绷带加压包扎,均持续3d。结果观察组下肢肿胀、疼痛程度显著轻于对照组,肿胀及疼痛消退时间显著短于对照组(均P<0.01)。结论10%盐水冰袋联合弹力绷带持续加压冷敷可有效减轻全膝关节置换术后膝关节肿胀和疼痛,加快肿胀、疼痛消退。Objective To safely and effectively minimize swelling and pain after artificial total knee arthroplasty. Methods Totally, 60 patients with knee joint osteoarthritis scheduled for total knee arthroplasty were divided into 2 groups commensurately （odd regis- tration ID number for the observation group, and even number for the control group）. After arthroplasty, a common gauze roller bandage was applied to the surgical site of the control group and then a 10% saline ice pack was placed above the bandage. An elas- tic compression bandage was applied to the surgical site of the observation group, and was topped by a 10% saline ice pack, which was secured to the operated knee by another roll of elastic compression bandage. Results Swelling and pain after artificial total knee arthroplasty in the observation group were significantly milder than those in the control group, and the time it took for sweliing and pain to subside in the observation group was significantly shortened than in the control group （P（0.01 for all）. Conclusion Contin- ued pressured cold therapy by using elastic bandage to secure 10% saline ice pack can minimize swelling and pain after artificial to- tal knee arthroplasty and boost them to subside.

关 键 词：膝关节 骨性关节炎 全膝关节置换术 肿胀 疼痛 10%盐水 冰袋 压迫疗法 冷疗 

分 类 号：R473.6[医药卫生—护理学] R681.8[医药卫生—临床医学]